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MITCHELL S. TISHLER NPI 1225138621


NPI Information

NPI: 1225138621
Provider Name: MITCHELL S. TISHLER

Doing Business As: CHATHAM CHIROPRACTIC WELLNESS CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 22D2236344

Address:
60 MUNSON MEETING WAY
CHATHAM, MA
ZIP 02633
Phone: (508) 945-3131
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MITCHELL S. TISHLER is a chiropractor in Chatham, MA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MITCHELL S. TISHLER NPI is 1225138621. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chatham Chiropractic Wellness Center.

The provider's business location address is:

60 MUNSON MEETING WAY
CHATHAM, MA
ZIP 02633
Phone: (508) 945-3131

The provider's authorized official is Mitchell S Tishler .
The authorized official title is Owner and has the following contact phone number (508) 945-3131.

The CLIA number assigned to this NPI record is 22D2236344 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 6/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1162MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
135665OTHERMASSACHUSETTSHARVARD PILGRIM
2797115OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3Y35866OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
4T58439MEDICARE UPINMASSACHUSETTS
5Y35866MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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